A STUDY OF CHARACTERISTICS AND CHANGES OF CYTOKINE-SECRETING ACTIVITY OF PERIPHERAL BLOOD NK CELL IN NON-SMALL CELL LUNG CANCER PATIENTS WITH STAGE IIIB - IV

Ba Thang Ta1, Thi Kim Nhung Phm1, Quyet Do2, Ngoc Tuan Nguyen, Khac Dai Do, Ngọc Bằng Đào
1 Military Hospital 103
2 Vietnam Military Medical University

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Abstract

Objectives: To evaluate characteristics and changes of IFN-γ-secreting activity of peripheral natural killer cells in non-small cell lung cancer (NSCLC) patients with stage IIIB - IV. Subjects and methods: A cross-sectional descriptive, prospective study on 80 NSCLC patients with stage IIIB - IV, treated at 103 Military Hospital 103 from January 2019 to November 2021; the control groups were 30 normal people who had personal periodic health examinations at Outpatient Department, Military Hospital 103. Peripheral blood NKA was determined by the concentration of interferon-gamma secreted in plasma by NK cells after being activated with Promoca ingredient, using NK VueTM kit of ATGen, based on ELISA principle. Results: The median value of NKA in the NSCLC group was significantly lower than that in the control group (116.5 pg/mL and 769.5 pg/mL, p < 0.001). The percentage of people with NKA below 200 pg/mL in NSCLC group and control group were 60% and 6.7%, respectively. There was no difference in NKA values before and after 1 month of treatment in the chemotherapy group (90.5 pg/mL (IQR: 64.5 - 309.5 pg/mL) vs. 270.5 pg/mL ( IQR: 107.75 - 406.75 pg/mL); p = 0.305) and target-therapy group (116.5 pg/mL (IQR: 46.75 - 574.50 pg/mL) vs. 155.5 pg /mL (IQR: 61.5 - 727.0 pg/mL); p = 0.884). Conclusion: The NKA value in non-small cell lung cancer patients with stage IIIB - IV was significantly lower than that in the control group. There was no difference in NKA values at the time of diagnosis and after 1 month of treatment (chemotherapy or target-therapy).

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References

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